Laserfiche WebLink
ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />1 <br />Rough zhtln <++a// ) <br />Service Meter I <br />FINAL <{/L 4/n 5.7h uEnr{l <br />Notes, Remarks, Etc. <br />OWNER AUILDf, R DELCARATION <br />I hd.b, .rrm undd pdrlly of Fjury lhal I m .kmpl from lh. Conlmclos Licosc L$ lor lh. follo{in! ,.4n (s(.701 I 5 <br />BNinBs and Proldio. ao&): An, Cily or County *hich rcqunB s pcnrir lo .onstuci. ahd. ifrrrorc, ddnolish or R?.n dy <br />srruclue Eior 1o ns issuucc. d$ rcqunc rh. qplica lor such l)6ii lo fiI. r sign d ltaImdt lh,r h. or sh. b liceEd pulsM <br />ro rh. ForirioN oflh. Conlra.loas Lic.ns.d Law (Ch.pt6 9, Comh.nci.s Nirh S(tnrn 7000 ol Divtion.l ofrh. BBinB ed <br />Potrsions Codc) or lhlt h. or shc is .rmfl $dcliod dd rh. basis ib. $c alLucd .rmp'ioi Anyviotalionolscclion 7011 5 byaoy <br />lpplic.nl aor ! panil rubjdBlh. rppli.anr to acivilparkyoanor nor. thM livc hund,.d dollds (tr500) <br />I, a otrn6 of lh. ,roFny, or my chrloyG s nh s as6 a lhct el. omp.Mion, will & rh. uork sd th. nBlu€ b nol <br />inrdi.d or ofi6.n for ssl. 1Sc.7044. Buind ed Pmfsi.N Cod.: Tn. Co racroir l,ictrc ljw do6 nor aprly ro d osnn of <br />rh. popany rho buildr or inlDmv6 rlEotr &dlho dcs@h Nr him.lf or h6s.laor threush his or hr o* n .nplol.d. <br />provid.d rhrr su.h irprovd@r d. mr i dddi or ofidi aor eL ll lb$ 66. tu &rilduu or LnD.oml ie eld rvnhin o!. )@ <br />ofcompkioi. fiG O"M BuildB will ha\r rh. hnl6 of pming lhd lE or s\c did mt hiB or i6p.oE rhc Fipoly i,r lhc p{,Fs of <br />I. soNn6olrh. Fop6ry. mcxclusivcly co.lDcrin! rvirh lic6B.d conrriclof16 cor{ru.r rh. pr.jrr (s{ 70q4, B6in6 <br />md Potlrbn Cod!: Th. Contr&roi s Licru. L.s do6.oi applyro d otrn6 olpropdly who builds or improv6lhs.on. <br />and who @ mds for such Fojcrls *nh a CoDl,aclo(, licosld puB@r r rh. Cont.doas Lic6$ rjs) <br />I d cxenrpt und€rSsrio. <br />D.te:_ Own.r _ <br />]rc85!AlCOMTE!TAIIA! <br />PES.AAAIIA! <br />I h6cby amm undd pqdty of pajuy oc ofth. fouowins &.|&.rioB: <br />- <br />I h8c ed Nill mainrain a Cdific,lc ofco,Mr ro Sclf-ldur. aor sorLa com!.Bdion. a pro!id.3 for by S6lion l?00 of th. <br />t bor Cone for ihc pqfonnecc ofth. wo* aor whkh lhc pqnil is isu.d <br />I hi!. ift ! qill miidiin \.i<d .ion iBuran .. 6 r.qun.d s(rion 1?0o ofth. L.b.r Codc, for rh. pdldmdc. oa <br />rll cMir od !trlicy nu'nbr &c: <br />a-:t\3t CE <br />,r*, "r.* R ? <br />I c.rlifyin in th. pdfor,Mc. of th. voll for *ni.h lhG Fmil is i$u.d. I shall nol dploy dy Fe. in @, m rnd <br />e 6 to b..onc subjrr ro rl'c *0116 codFa!]ioo la$. olcdilomii ud agElhd ifI should baom. bj4ltolh. <br />sork6' codF@rio. povBiorc oasdion 17($ oarh. Lrhor Cod., I sholl, lonhwnh <br />l'v RNll\Gr Failur. to Kur. workEl comp.rualion covgasc t unlawful. ad <br />lhousnd dollaG Itl00.c{0,.oacomD.nsrion, doore a <br />I hoeby aflifl. und6 poalry of Frjury rha I dl i.id. ofchaorg e (comnHcin* qith Scclion 70qr) ofDirisi.n l <br />or lhc lnBinsand ltoiBsnins (id.. tud my Lic <br />TrzrraT-+- <br />I hd.by amrm und6 p.nah) o f Fjury thd lh6. i3 t <br />issu.d(Sa.109?, Civ C ) <br />aldcy tur !h. psfommc. otl <br />AT&TCANLITQAAAIIA! <br />I ho*y ofm undd p.nahy ofp.rjuly onc otlhc lollowitrA dalsalionsl <br />D.molirioh Pdflil3 Asb.ros Nori6.ario. F.dd0l R.guldions (1 irl..10, P3n6) <br />R.qun.<l Lard of Norincdion <br />I ccdily lhar th. f.dd al r.BulolioN rcgudnrS abelos r.'noeal <br />I c6lily rhar lh.\€ rcod this appli.arion od srarc thot lhc at{v€r. <br />ortlinrnces and sraic l.a\s <br />T-